- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.04 / $5,526.00 / $13,947.00
| Facility | | $583.04 | $5,526.00 | $13,947.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $475.49 / $538.36 / $677.50
| Professional | | $475.49 | $538.36 | $677.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $424.01 / $775.80 / $945.14
| Professional | | $424.01 | $775.80 | $945.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $486.70 / $675.34 / $1,004.09
| Professional | | $486.70 | $675.34 | $1,004.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $728.16 / $728.16 / $766.85
| Professional | | $728.16 | $728.16 | $766.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $5,526.00 / $13,969.00
| Facility | | $832.00 | $5,526.00 | $13,969.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $475.49 / $600.65 / $2,506.92
| Professional | | $475.49 | $600.65 | $2,506.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $1,195.70
| Professional | | $15.00 | $15.00 | $1,195.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $521.50 / $688.03 / $1,063.07
| Professional | | $521.50 | $688.03 | $1,063.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473.63 / $473.63 / $558.33
| Facility | | $473.63 | $473.63 | $558.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452.18 / $483.08 / $558.33
| Professional | | $452.18 | $483.08 | $558.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $656.00 / $2,391.00 / $6,322.00
| Facility | | $656.00 | $2,391.00 | $6,322.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480.68 / $634.51 / $1,002.20
| Professional | | $480.68 | $634.51 | $1,002.20 |